Registry details
Type
Individual
Primary specialty
Pharmacist
Enumerated
Mar 5, 2010
License(s)
36569 (NY)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 33 EVELYN CT | Manorville, NY 11949-2812 | 631-399-4346 |
| LOCATION | 1036 MAIN ST | Holbrook, NY 11741-1606 | 631-585-8585 |
Watch this provider
Get a webhook/email the day this provider is added to the OIG-LEIE exclusion list or appears in an FDA enforcement action.